Let me start with my exposure on 1/11/16

Im a male that had vaginal sex with a csw at a massage parlor. I used a condom that she provide as far as I remember I did not notice a condom break when I took it off after 15 min of intercourse.

I have taken the Following test:

8/2016 orasure hiv swab test

9/2016 orasure finger prick test

9/2016 4th gen hiv test my doctor

10/2016 4th gen hiv test Labcorp 

10/2016 Hiv RNA test labcorp

11/2016  4th gen hiv test labcorp 

12/12/16 4th gen hiv test QuestDiagnostic

1. If the fever I got on 7/23/2016 was due to hiv. Would any of my test be positive?

2. I have been getting itchy small red bumps in my arms and back. About 2 at a time and and then  go away. Started about 8/2016

3. Is there any other test that you would recommend for Hiv or other Std from the single exposure in 1/11/2016.

5. I have been affraid to have unprotected sex with my GF. Would I be on the clear.

You can stop worrying. For sure you do not have HIV, assuming no new exposures recently that you haven't described. You were seriously overtested. You could have stopped after the first test listed. The HIV tests are among the most accurate diagnostic tests ever developed, for any medical condition. That's as long as testing is done sufficiently long after the last possible exposure, which varies from 4 weeks to 3 months, depending on the specific test. All your tests were after those times. Even if you had a high risk exposure (you didn't) or typical symptoms (you did not -- 6 months is far too late for ARS), the test results always overrule exposure history and symptoms.

1) That fever could not have been due to HIV acquired 6 months earlier.

2) Not an HIV symptom.

3) No other tests are more accurate and no more testing is necessary.

4) You could and should have resumed sex with your partner several months ago. For sure you can do so now.

I hope this has been helpful. Best wishes and stay safe--  HHH, MD

I would like to ask about what I read on the CDC website: 

What does the CDC refers to when it states that " Most (approximately 97%) but not all people will develop delectable antibodies within 3 months.

1. Who would fall in the 3% and by when would the other 3% have detectable antibodies?

2. Would there be any other STD test that you would recommend based on the small itchy red bumps that I keep getting in arms and back. I wont see my doctor untill 2 more weeks to ask him about it.

Thank you once again Doctor 

For your help.

1) Nobody falls in this 3%. Nobody has ever reported any person to have had a negative 4th gen test at 4 weeks who later turned out to have HIV.

2) No STD causes such symptoms. They aren't from the sexual exposure you are concerned about.

Everthing else looked normal.

1. Could you give me more information on this?

2. The only reason I took this test was because I thought I would have a rare type of hiv or be rare case and I got a low range of cd4 %

The CD4 and CD8 levels vary naturally and widely, and in healthy persons often are somewhat outside the normal range. But your levels are normal anyway:  it is the absolute numbers that matter, not the percentaages. And your CD4, CD8, helper:suppressor ratio, and lymphocyte counts all are perfectly normal. The barely low CD4% is meaningless.

That concludes this thread. Best wishes and stay safe,